Graceworks Enhanced Living

NPI #1295322212 in Dayton, Ohio

Provider Information

NPI Number: 1295322212
Entity Type: Organization
Organization Name: Graceworks Enhanced Living
Subpart: Yes (part of a larger organization)
Parent Organization: GRACEWORKS ENHANCED LIVING
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 23, 2020
Last Updated: Dec 23, 2020

Practice Location

Address: 4048 FOREST RIDGE BLVD
City: Dayton
State: Ohio
ZIP Code: 45424-4835
Phone: (937) 235-2210

Authorized Official

Name: MR. MICHAEL W ALLEN
Title: VICE PRESIDENT, FINANCE & FACILITIE
Phone: (937) 436-6885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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Graceworks Enhanced Living Part of Graceworks Enhanced Living	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Dayton	AI Deep Dive
Graceworks Enhanced Living Part of Graceworks Enhanced Living	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Dayton	AI Deep Dive
Graceworks Enhanced Living Part of Graceworks Enhanced Living	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Dayton	AI Deep Dive
Graceworks Enhanced Living	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Dayton	AI Deep Dive
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